ADRENAL STEROID SYNTHESIS IN AMYLOID DEGENERATION LOCALISED EXCLUSIVELY TO THE ZONA RETICULARIS
ABSTRACT In a 47-year-old male suffering from bronchiectasis, pulmonary fibrosis and renal amyloidosis, post-mortem examination of the adrenals revealed amyloid degeneration of the zona reticularis, the other adrenocortical zones being apparently intact. A thorough analysis of the endocrine functions during the last period of his life showed an abnormally low production of C19-steroids, even following corticotrophin stimulation. The formation of 17-hydroxycorticosteroids was found to be normal, while, on the other hand, the aldosterone excretion was elevated. These findings may imply that the synthesis of adrenal C19-steroids takes place in the reticular zone, while the C21-steroids apparently can be formed predominantly in the zona fasciculata.